Individual
JOAN KERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7833 OAKMONT BLVD, FORT WORTH, TX 76132-4231
(817) 944-0064
Mailing address
7833 OAKMONT BLVD, FORT WORTH, TX 76132-4231
(817) 944-0064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
65775
TX
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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